Deep neck infections in children

Pei Ti Tan, Luan Yin Chang, Yhu Chering Huang, Cheng Hsun Chiu, Chao Ran Wang, Tzou Yien Lin

Research output: Contribution to journalArticle

38 Citations (Scopus)

Abstract

From December 1989 through 1998, a total of 68 children with deep neck infection were enrolled into this study. The mean age was 5.9 years (range, 1 month-15.8 years). Infections in the retropharyngeal space (36.7%) were most common, followed by parapharyngeal space (30.8%), peritonsillar space (20.6%), and submandibular space (11.9%). Fever, neck pain, and swelling were the most frequent symptoms. The most common pathogens were viridans streptococci (41%, 16/39) and Staphylococcus aureus (26%, 10/39). Other isolates included Prevotella spp., Veillonella spp., Klebsiella pneumoniae, Escherichia coli, Morganella spp., and Enterobacter spp. Mixed infection was found in 46% (18/39) of patients. The mean duration of hospitalization was 12.4 days (range, 2-45 days). Complete resolution was achieved in 61 (89.7%) children. Complications occurred in 7 patients, including recurrence, mediastinal spread, bacteremia, and suppurative thyroiditis; the patient with mediastinal spread plus bacteremia died. Five patients had congenital cyst and 4 of them had complications or recurrence/relapse. In conclusion, infections in the retropharyngeal space and polymicrobial infections were most common in deep neck infection of Taiwan children.

Original languageEnglish
Pages (from-to)287-292
Number of pages6
JournalJournal of Microbiology, Immunology and Infection
Volume34
Issue number4
Publication statusPublished - 2001
Externally publishedYes

Fingerprint

Neck
Bacteremia
Infection
Coinfection
Recurrence
Morganella
Suppurative Thyroiditis
Veillonella
Prevotella
Viridans Streptococci
Enterobacter
Neck Pain
Klebsiella pneumoniae
Taiwan
Staphylococcus aureus
Cysts
Hospitalization
Fever
Escherichia coli

Keywords

  • Children
  • Deep neck infection
  • Taiwan

ASJC Scopus subject areas

  • Microbiology (medical)
  • Immunology and Allergy
  • Immunology and Microbiology(all)

Cite this

Tan, P. T., Chang, L. Y., Huang, Y. C., Chiu, C. H., Wang, C. R., & Lin, T. Y. (2001). Deep neck infections in children. Journal of Microbiology, Immunology and Infection, 34(4), 287-292.

Deep neck infections in children. / Tan, Pei Ti; Chang, Luan Yin; Huang, Yhu Chering; Chiu, Cheng Hsun; Wang, Chao Ran; Lin, Tzou Yien.

In: Journal of Microbiology, Immunology and Infection, Vol. 34, No. 4, 2001, p. 287-292.

Research output: Contribution to journalArticle

Tan, PT, Chang, LY, Huang, YC, Chiu, CH, Wang, CR & Lin, TY 2001, 'Deep neck infections in children', Journal of Microbiology, Immunology and Infection, vol. 34, no. 4, pp. 287-292.
Tan PT, Chang LY, Huang YC, Chiu CH, Wang CR, Lin TY. Deep neck infections in children. Journal of Microbiology, Immunology and Infection. 2001;34(4):287-292.
Tan, Pei Ti ; Chang, Luan Yin ; Huang, Yhu Chering ; Chiu, Cheng Hsun ; Wang, Chao Ran ; Lin, Tzou Yien. / Deep neck infections in children. In: Journal of Microbiology, Immunology and Infection. 2001 ; Vol. 34, No. 4. pp. 287-292.
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